Mstyslaw Andrew Petyk in Plymouthmeeting - Clinical
Mstyslaw Andrew Petyk - NPI 1134226525
Mstyslaw Andrew Petyk is a Clinical in Plymouthmeeting, Pennsylvania. Mstyslaw Andrew Petyk practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mstyslaw Andrew Petyk is 1134226525. The last update date is 2007-07-08.
Mstyslaw Andrew Petyk's current location address is 525 Plymouth Rd., Plymouthmeeting, Pennsylvania. You can contact this provider via phone number 6108259400 and fax number 6108257130. The mailing address for Mstyslaw Andrew Petyk is 525 Plymouth Rd., Plymouthmeeting, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mstyslaw Andrew Petyk |
|---|---|
| Address | 525 Plymouth Rd., Plymouthmeeting, Pennsylvania |
| Phone Number | 6108259400 |
| Fax Number | 6108257130 |
| Sole Proprietor | N |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1134226525 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 525 Plymouth Rd. |
|---|---|
| City | Plymouthmeeting |
| State | Pennsylvania (PA) |
| Post Code | 19462 |
| Phone Number | 6108259400 |
| Fax Number | 6108257130 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS002204-L |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Mstyslaw Andrew Petyk's 1134226525?
The Mstyslaw Andrew Petyk's NPI (National Provider Identifier) Number is 1134226525. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mstyslaw Andrew Petyk's facilities are geographically located?
The facilities of Mstyslaw Andrew Petyk are physically situated at the following location: 525 Plymouth Rd., Plymouthmeeting, PA, 19462.
What is the Mstyslaw Andrew Petyk's specialty and taxonomy code?
The Mstyslaw Andrew Petyk's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date was the 1134226525 assigned to Mstyslaw Andrew Petyk?
The Mstyslaw Andrew Petyk was issued its 1134226525 on 2006-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mstyslaw Andrew Petyk most recently updated or refreshed?
The details pertaining to the Mstyslaw Andrew Petyk, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH